Provider Demographics
NPI:1043321417
Name:WASEEM, ARAIN A (MD)
Entity type:Individual
Prefix:
First Name:ARAIN
Middle Name:A
Last Name:WASEEM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1576 MERRITT BLVD
Mailing Address - Street 2:SUITE # S-6
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21222-2132
Mailing Address - Country:US
Mailing Address - Phone:410-282-7788
Mailing Address - Fax:
Practice Address - Street 1:1576 MERRITT BLVD
Practice Address - Street 2:SUITE # S-6
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21222-2132
Practice Address - Country:US
Practice Address - Phone:410-282-7788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2008-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD22371207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1196AAOtherCAREFIRST MARYLAND #
MD792941200Medicaid
MDE180OtherBLUECHOICE MARYLAND #
MD040009038OtherRAILROAD MEDICARE #
MD040009038OtherRAILROAD MEDICARE #
MDE180OtherBLUECHOICE MARYLAND #